Health workers are required to perform their duties in accordance with professional standards, service standards, and applicable standard operating procedures, professional ethics, respect for patients' rights, and prioritization of patient safety. This study aims to obtain empirical evidence regarding the effect of transformational leadership and compensation on affective commitment and its impact on the performance of medical support employees at Abdul Aziz Regional General Hospital, Singkawang City. The results of this study are expected to serve as a reference and framework for Abdul Aziz Regional General Hospital, Singkawang City, in improving the performance of medical support employees. The research method employed was descriptive and verification analysis. Data were collected through interviews using questionnaires, complemented by observation and literature review techniques. The sampling technique used was saturated sampling or census sampling, involving 88 respondents. Field data collection was conducted in 2026. The data were analyzed using Path Analysis. The results showed that transformational leadership, compensation, organizational commitment, and employee performance tended to be relatively poor. Transformational leadership and compensation had both partial and simultaneous effects on affective commitment, while affective commitment had an effect on employee performance.
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